ALL STATE DIAGNOSTICS MANAGEMENT INC (NPI# 1760795439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760795439 |
Entity Type | Organization |
Organization Name | ALL STATE DIAGNOSTICS MANAGEMENT INC |
Practice Address |
363 Route 111 Ste Ll4a Smithtown NY 11787-4756 |
Practice Telephone | 6313663030 |
Practice Fax Number | 6313663033 |
Mailing Telephone | 6313663030 |
Mailing Fax Number | 6313663033 |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |
Authorized Official Name | MRS. SAMIRA DINIZ (PRESIDENT) |
Authorized Official Telephone | 6313663030 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Street Address |
363 ROUTE 111 STE LL4A |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-4756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
Find all providers in zip 11787 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477177962 | Sinai Portable X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 63187 Alderton St Bsmt, Rego Park, NY 11374-3919 | 2020-06-01 |
1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
1417356858 | A 1 Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 165 Classon Ave, Brooklyn, NY 11205-2636 | 2014-08-21 |
1740629062 | Take Control of Your Health Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1416 Ackerson Blvd, Bay Shore, NY 11706-3845 | 2013-06-19 |
1245571678 | Noa Diagnostics of Ny LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1186 Broadway, Hewlett, NY 11557-2322 | 2013-03-11 |
1699023887 | Optimum Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 317 Eastwood Rd, Woodmere, NY 11598-1635 | 2012-08-21 |
1215295126 | New Jersey Portable X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 99 Jericho Tpke Ste 204, Jericho, NY 11753-1015 | 2012-04-27 |
1982981890 | A1 Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1160 60th St, Brooklyn, NY 11219-4924 | 2011-11-05 |
1528390143 | Mobile Cardiovascular Systems, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 171 Scenic Dr, Mohegan Lake, NY 10547-1254 | 2010-02-07 |
1760615298 | Exceptional Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 41 Point St Suite 1b, Yonkers, NY 10701 | 2009-09-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.